Individual
ERIS BILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, AGACNP-BC
Contact information
Practice address
2235 STAPLES MILL RD STE 100, RICHMOND, VA 23230-2942
(804) 281-0451
Mailing address
2235 STAPLES MILL RD STE 100, RICHMOND, VA 23230-2942
(804) 281-0451
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024173672
VA
Other
Enumeration date
06/27/2016
Last updated
10/30/2019
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